| NPI | 1528346855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX API43791) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 348189) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2019-11-11 |