| NPI | 1841636727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126696) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126696) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126696) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2017-11-08 |