| NPI | 1164122255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1111962) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 873008) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-10-06 |