| NPI | 1730754607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1046546) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: TX 812066) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-07-08 |