| NPI | 1699275412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001265610) |
| 163W00000X Registered Nurse (Licence: TX 865563) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176691) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-03-08 |