| NPI | 1821367327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP121213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP121213) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121213) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 729458) | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2022-10-28 |