| NPI | 1700882511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP112055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 636052) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2024-05-22 |