| NPI | 1891220505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138159) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23182) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 23182) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2022-12-13 |