| NPI | 1144658881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133451) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 166854) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18013) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2018-05-18 |