| NPI | 1750455770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 226922) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 226922) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2011-05-31 |