| NPI | 1396247219 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135973) | 
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP135973) | 
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135973) | |
| Enumeration Date | 2018-03-07 | 
| Last Update Date | 2024-05-20 |