| NPI | 1558906479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1045499) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 913426) |
| 163W00000X Registered Nurse (Licence: TX 913426) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-02-04 |