| NPI | 1184192940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1042708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1042708) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00876500) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2025-07-25 |