| NPI | 1629610464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1020733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 781907) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2021-11-17 |