| NPI | 1164892592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 288353-8900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 288353-4405) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2021-11-18 |