| NPI | 1770332553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1159431) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1159431) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-09-10 |