| NPI | 1760836183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 836476) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-05-15 |