NPI | 1043098775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1140411) |
Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: TX 819527) |
Enumeration Date | 2023-09-14 |
Last Update Date | 2025-08-12 |