| NPI | 1083175624 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140945) | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 824833) | 
| Enumeration Date | 2019-03-27 | 
| Last Update Date | 2024-05-22 |