| NPI | 1659477115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 796913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024166241) |
| 207P00000X Emergency Medicine (Licence: VA 0001184101) | |
| 207P00000X Emergency Medicine (Licence: VA 0024166241) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-10-18 |