| NPI | 1356942148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1019522) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1019522) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 869298) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2022-01-04 |