| NPI | 1629489505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126978) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 564235-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307023-1) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-06-22 |