| NPI | 1083126668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP135717) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-07-10 |