| NPI | 1861582850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 603095) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 603095) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |