| NPI | 1740046507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1086459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 1086459) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-08-25 |