| NPI | 1215233242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN303631) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP119999) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2022-07-21 |