| NPI | 1528619178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 32614) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1217154) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 1217154) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2026-09-22 |