| NPI | 1770585234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 663590) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 663590) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 663590) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2022-01-11 |