| NPI | 1811253131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119820) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 722841) |
| 363L00000X Nurse Practitioner (Licence: TX 2010003029) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-08-26 |