| NPI | 1366848541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP126920) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71013044A) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2022-09-26 |