| NPI | 1043718612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1028553) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN267662) |
| 363L00000X Nurse Practitioner (Licence: TX 1028553) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN267662) | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-04-12 |