| NPI | 1104382597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140582) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX 812655) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140582) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140582) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-02-15 |