| NPI | 1770633422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119540) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 788874) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-01-26 |