| NPI | 1538562657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 5194358-4405) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: UT 5194358-4405) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-03-27 |