| NPI | 1245938661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1112060) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112060) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 960359) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1112060) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1112060) | |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-05-31 |