| NPI | 1124727029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1111857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 930632) |
| 363L00000X Nurse Practitioner (Licence: TX 1111857) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-05-09 |