| NPI | 1790322667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 333837-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 333837-4405) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-08-12 |