| NPI | 1306135694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 702907) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME AP111008) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2013-10-25 |