| NPI | 1407943145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP111199) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 618233) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-03-01 |