| NPI | 1669551081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F0806164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 606234) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2011-05-24 |