| NPI | 1205011053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP114087) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 651221) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-03-13 |