| NPI | 1336785468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 837251) |
| 163W00000X Registered Nurse (Licence: IL 041486717) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143963) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-04-25 |