| NPI | 1710411822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132721) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 309642) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11031715) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4017745) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-10-03 |