| NPI | 1972068237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136811) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP136811) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136811) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2023-03-03 |