| NPI | 1780896696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP114346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 720742) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720742) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2018-07-18 |