| NPI | 1881301265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226914) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1140280) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 226914) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1140280) | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2025-04-02 |