| NPI | 1578280111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 14233431-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP026468) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP026468) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-11-11 |