| NPI | 1447810882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143688) |
| 163W00000X Registered Nurse (Licence: FL RN9390915) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-05-10 |