| NPI | 1437863883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1105785) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1105785) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-03-02 |