| NPI | 1922769249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 66481) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 282N00000X General Acute Care Hospital (Licence: TX 1056207) | |
| 363L00000X Nurse Practitioner (Licence: TX 1056207) | |
| Enumeration Date | 2022-01-08 |
| Last Update Date | 2022-08-31 |