| NPI | 1487867545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-01611) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 376187-4405) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-03-22 |