| NPI | 1306492012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX APN141988) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX APN141988) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX APN141988) | |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2024-09-19 |