| NPI | 1477162295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 11831283-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 11831283-4405) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 11831283-4405) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |