| NPI | 1740060656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 215500) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 957662) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-01-29 |