| NPI | 1063814580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126398) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 822137) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2024-07-12 |