| NPI | 1336413186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP120153) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720094) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2017-08-01 |