| NPI | 1538786470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1001600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1001600) |
| 163W00000X Registered Nurse (Licence: TX 695905) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2024-01-17 |