| NPI | 1518798347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1171105) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1171105) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-09-09 |