| NPI | 1245384874 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1036008)  | 
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: TX 686580)  | 
| Enumeration Date | 2007-01-22 | 
| Last Update Date | 2023-09-26 |