| NPI | 1659620730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 254755) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 254755) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-04-09 |