| NPI | 1649407693 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP118210)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP118210)  | 
| Enumeration Date | 2009-06-17 | 
| Last Update Date | 2023-12-19 |