| NPI | 1174047120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP134711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX AP134711) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9223) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-12-23 |