| NPI | 1174868376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02195) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP122698) |
| 363L00000X Nurse Practitioner (Licence: OK 207370) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2024-10-23 |