| NPI | 1013681840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1129187) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 264391) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AZ 264391) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2026-02-04 |