| NPI | 1881472595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1062346) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP1062346) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1062346) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-04-09 |