| NPI | 1609047778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 702233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 702233) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2021-04-06 |