| NPI | 1831473891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 232944) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 232944) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2012-06-15 |