| NPI | 1942221841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 684863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 684863) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2006004689) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2014-10-10 |