| NPI | 1972962074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 773558) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |