| NPI | 1699930628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP111190) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP111190) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX AP111190) | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2021-07-12 |