| NPI | 1083205199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1031073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 848622) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-04-07 |