| NPI | 1730935552 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1156409) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 916237) | 
| Enumeration Date | 2024-04-24 | 
| Last Update Date | 2024-04-24 |