| NPI | 1356049753 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112064)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 838810)  | 
| Enumeration Date | 2023-02-16 | 
| Last Update Date | 2024-02-26 |