| NPI | 1407414576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP142159) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 802192) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP142159) | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2021-08-24 |