| NPI | 1255881827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132384) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 780945) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2021-01-14 |