| NPI | 1710525019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 135280) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 31349) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-11-25 |