| NPI | 1477398816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1146980) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1146980) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-11-06 |