| NPI | 1639123268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 3707) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 666811) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-08-27 |