| NPI | 1629676341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1023046) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 768777) | 
| Enumeration Date | 2020-10-14 | 
| Last Update Date | 2025-04-05 |