| NPI | 1669083077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP145584) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145584) |
| 363L00000X Nurse Practitioner (Licence: TX AP145584) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-11-10 |