| NPI | 1316507718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141048) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 306316) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 13863457-4405) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 74977) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-07-05 |