| NPI | 1669964813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1112542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 939069) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-05-20 |