| NPI | 1134716061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP143281) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432787) |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2023-12-18 |