| NPI | 1841879541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1047428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 869646) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1047428) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2023-05-03 |