| NPI | 1861732364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP23050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX NP20120167) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TX NP20120167) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: CA NP23050) | |
| 163W00000X Registered Nurse (Licence: CA RN503923) | |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-11-14 |