| NPI | 1326708512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1115106) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 223388) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1115106) | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-08-07 |