| NPI | 1619930823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 584166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 584166) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TX 584166) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-08-16 |