| NPI | 1205554532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1090563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1090563) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1090563) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-01-15 |