| NPI | 1417407149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 67688) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP132467) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132467) | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-08-13 |