| NPI | 1801371463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP138824) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: WA AP7002849) |
| Enumeration Date | 2018-09-30 |
| Last Update Date | 2025-07-23 |