| NPI | 1629449574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP129240) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 750689) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2024-07-16 |