| NPI | 1659002483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1057299) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 930697) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |