| NPI | 1992420004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141845) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141845) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP141845) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-01-22 |