| NPI | 1770310930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1175469) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 1175469) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-27 |