| NPI | 1073939922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125346) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 679317) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2019-04-22 |