| NPI | 1568417376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 269735-4405) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: UT 269735-4405) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: UT 269735-4405) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-11-11 |