| NPI | 1588434716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 2023129113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 13196921-3102) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |