| NPI | 1245980101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1096487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 942033) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-01-17 |