| NPI | 1568874089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95000530) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2017-03-08 |