| NPI | 1013748144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1169642) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1169642) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1169642) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1169642) | |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-09-27 |