| NPI | 1093791022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1993-033) |
| 363L00000X Nurse Practitioner (Licence: TX AP125622) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2016-11-11 |