| NPI | 1073154779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143322) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720452) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-11-08 |