| NPI | 1386620318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 759588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA VP004125P) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-01-25 |