| NPI | 1902480049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140114) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP140114) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140114) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-12-18 |