| NPI | 1306368972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132428) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP132428) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-09-19 |