| NPI | 1144231564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 571387) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP107690) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-20 |