| NPI | 1770214090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1084893) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1084893) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2024-02-12 |