| NPI | 1205342813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136965)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 781149)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136965)  | |
| Enumeration Date | 2017-12-18 | 
| Last Update Date | 2024-05-07 |