| NPI | 1811276041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX AP120560) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 776377) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-08-18 |