| NPI | 1245890136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141729) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP141729) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP141729) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP141729) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP141729) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2022-02-01 |