| NPI | 1619457140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 770427) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-07-03 |