| NPI | 1649333055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 286942-4405) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 286942-8900) | 
| Enumeration Date | 2006-12-18 | 
| Last Update Date | 2009-04-09 |