| NPI | 1740340488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 593352) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 036133621) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |