| NPI | 1669775425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 563286) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2019-09-24 |