| NPI | 1902569726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM 67574) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1052800) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-07-31 |