| NPI | 1558726695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129555) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 729437) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-08-06 |