| NPI | 1649072737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1203977) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 974406) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-08-15 |