| NPI | 1063727485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 717207) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2017-01-24 |