| NPI | 1154192425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 787852) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 787852) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-09-26 |