| NPI | 1760871263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6212250-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6212250-4405) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124559) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2022-07-15 |