| NPI | 1316317928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 800697) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-10-13 |