| NPI | 1235508177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP137249) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY f430961-1) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2018-11-12 |