| NPI | 1588920862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126449) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-107769) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2014-10-27 |