| NPI | 1124596622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139663) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 672769) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2021-11-16 |