| NPI | 1114275922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP122371) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 751612) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2022-08-22 |