| NPI | 1962175737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1038724) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1038724) |
| 363L00000X Nurse Practitioner (Licence: TX 1038724) | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-02-21 |