| NPI | 1285215095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1050813) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1050813) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1050813) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2023-06-24 |