| NPI | 1598780173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 551056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 551056) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2016-08-17 |