| NPI | 1629563549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1153742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202005610) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1153742) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-09-16 |