| NPI | 1598052086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 691896) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 691896) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-08-16 |