| NPI | 1588998470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6046P) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2014-07-25 |