| NPI | 1689709321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX ap136755) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: TX 803842) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-05-21 |