| NPI | 1669428249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 766677) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 635929) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-04-29 |