| NPI | 1144836495 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1016041)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 212543)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 212543)  | |
| Enumeration Date | 2020-09-22 | 
| Last Update Date | 2022-10-25 |