| NPI | 1861140659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1072496) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 1072496) |
| 363L00000X Nurse Practitioner (Licence: TX 1072496) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-04-04 |