| NPI | 1073127379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1056012) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 1056012) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 838264) | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-01-13 |