| NPI | 1306189899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP131519) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17511) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 17511) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2022-09-08 |