| NPI | 1649369604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 436308) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 436302) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-10-14 |