| NPI | 1063819837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126717) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126717) |
| 163W00000X Registered Nurse (Licence: TX 821167) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126717) | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2020-07-17 |