| NPI | 1134575103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 232165) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-09-25 |