| NPI | 1376730051 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115304) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 640579) | 
| Enumeration Date | 2007-09-26 | 
| Last Update Date | 2016-07-08 |