| NPI | 1700890993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP114563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 661273) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 661273) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-23 |