| NPI | 1558976423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1010853) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 757760) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-01-22 |