| NPI | 1770801029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP118690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 629458) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2021-10-06 |