| NPI | 1689313736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1087032) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX 713462) |
| 282NR1301X General Acute Care Hospital, Rural (Licence: TX 713462) | |
| 314000000X Skilled Nursing Facility (Licence: TX 713462) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2023-02-07 |