| NPI | 1174867873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 077092-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 681337) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-07-03 |