| NPI | 1558072611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1114340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 766723) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-06-08 |