| NPI | 1497369664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1012650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 836534) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-08-07 |