| NPI | 1457068025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 8299469-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8299469-3102) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-01-04 |