| NPI | 1821764077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5018349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1036239) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1036239) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-10-04 |