| NPI | 1588905277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP127488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 853024) |
| 163W00000X Registered Nurse (Licence: NY 658360) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP127488) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2019-08-27 |