| NPI | 1164678694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP128299) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 18403) |
| 363L00000X Nurse Practitioner (Licence: CA 18403) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2015-10-30 |