| NPI | 1225471089 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 694362)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 694362)  | 
| 363L00000X Nurse Practitioner (Licence: TX AP124100)  | |
| Enumeration Date | 2013-04-11 | 
| Last Update Date | 2023-02-08 |