| NPI | 1164756169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000026271) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 730299) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 730299) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-03-31 |