| NPI | 1124338629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP119545) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 746538) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-02-26 |