| NPI | 1043068216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1180638) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 860610) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-12-10 |