| NPI | 1992318331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1029679) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: LA 215543) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1029769) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 215543) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1029679) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-07-23 |