| NPI | 1245517093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121034) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 761016) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-05-10 |