| NPI | 1215360052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012958) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2020-11-20 |