| NPI | 1356719405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN151111) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |