| NPI | 1942098686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 11595276-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 11595276-4405) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-07-18 |