| NPI | 1457623613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 806716) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010786) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: HI 1584) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2013-12-13 |