| NPI | 1992975668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP115151) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP115151) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 656283) | |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2021-08-31 |