| NPI | 1699112342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1074343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 749224) |
| 163W00000X Registered Nurse (Licence: HI RN-68157) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-1568) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-04-18 |