| NPI | 1649510785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-123450) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-123450) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-04-21 |