| NPI | 1962488643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP112378) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 533514) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2018-05-09 |