| NPI | 1023114196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 680286) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-09-11 |