| NPI | 1902374853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024187051) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP139613) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2025-02-06 |