| NPI | 1508254822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126934) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX AP126934) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-09 |