| NPI | 1619842150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1215554) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 938805) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-28 |