| NPI | 1255819827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP138348) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 363LA2200X) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP138348) | |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-03-01 |