| NPI | 1740617224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124233) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 675521) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-07-27 |