| 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 |