| NPI | 1306433255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1022818) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1022818) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1022818) | |
| 163W00000X Registered Nurse (Licence: TX 1022818) | |
| 363L00000X Nurse Practitioner (Licence: TX AP1022818) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1022818) | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2022-08-03 |