| NPI | 1578841888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 713627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 713627) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 713627) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2014-04-21 |