| NPI | 1114577806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 820093) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-11-09 |