| NPI | 1033110101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP017847) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 550978) | 
| Enumeration Date | 2005-08-10 | 
| Last Update Date | 2021-07-29 |