| NPI | 1972254183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1059310) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1059310) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1059310) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-10-04 |