| NPI | 1487397196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1190891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-176848) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2025-04-15 |