| NPI | 1528467438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129826) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 889624) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2021-06-05 |