| NPI | 1528391273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 200241325RN) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 766036) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2017-09-11 |