| NPI | 1407898596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 840808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-77069-012) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KS 45237) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: ID NP-791A) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-10-15 |