| NPI | 1063902898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136748) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 814937) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-10-05 |