| NPI | 1144990292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1053309) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1053309) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1053309) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-12-02 |