| NPI | 1063489441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2007029013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 674323) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2011-06-10 |