| NPI | 1619555034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 311978) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 872204) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1034708) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-10-18 |