| NPI | 1588014823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN137704) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP08882) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-04-22 |