| NPI | 1356548382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115217) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 585703) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-01-09 |