| NPI | 1699842195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 2006009901) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-08-09 |