| NPI | 1598375800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1029194) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 933195) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1029194) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-08-08 |