| NPI | 1235598467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1113962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704170) |
| 363L00000X Nurse Practitioner (Licence: CT 7413) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-08-08 |