| NPI | 1952397416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 678069) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 175479) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-01-18 |