| NPI | 1568407260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 731280) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 000772) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-01-13 |