| NPI | 1245732320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD AC002252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 711238) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP136148) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-27 |