| NPI | 1326367954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 943166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 5933) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 107844) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 107844) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2019-11-01 |