| NPI | 1295189157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP130819) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 707044) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2021-04-21 |