| NPI | 1184846875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP118658) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 15969) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 118658) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-09-15 |