| NPI | 1700456951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SD R053081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 940401) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1167873) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-07-03 |