| NPI | 1215395405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP130119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130119) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2022-08-01 |