| NPI | 1609409036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP145124) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP61229280) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2023-03-15 |