| NPI | 1164487583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 507107) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 507107) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2011-09-26 |