| NPI | 1336708361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX ap141011) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2018069126) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2021-07-22 |