| NPI | 1659932218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143034) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 190574) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143034) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-10-04 |