| NPI | 1790069748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP117917) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TX 702304) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2022-07-21 |