| NPI | 1568715514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 727383) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA L172456) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-05-09 |