| NPI | 1912451394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131736) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131736) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-05-13 |