| NPI | 1851044770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX 1068922) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1068922) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2025-10-17 |