| NPI | 1669253506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1127447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 901253) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |