| NPI | 1710956677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 5639) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 617747) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2014-07-10 |