| NPI | 1356854582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135634) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R231169) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-05-28 |