| NPI | 1780058107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128391) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP128391) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128391) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-06-27 |