| NPI | 1124331665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125597) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN271095) |
| 363L00000X Nurse Practitioner (Licence: CT 004846) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 004846) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-05-17 |