| NPI | 1649749631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139808) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: TX 866442) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-01-23 |