| NPI | 1164527008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 683861) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 683861) |
| 363L00000X Nurse Practitioner (Licence: TX 683861) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-01-12 |