| NPI | 1114241643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP123613) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN RN0000162327) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2019-04-30 |