| NPI | 1164863528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP123786) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 730073) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-09-02 |