| NPI | 1861019242 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145522) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145522) | 
| Enumeration Date | 2020-07-01 | 
| Last Update Date | 2022-04-04 |