| NPI | 1588363956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1111411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5019936) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2024-06-20 |