| NPI | 1023349735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4163) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 779129) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2018-01-30 |