| NPI | 1063912764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP136625) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-26220) |
| 363L00000X Nurse Practitioner (Licence: TX AP136625) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136625) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2022-07-01 |