| NPI | 1730367921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 702992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 252814) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 252814) | |
| Enumeration Date | 2008-02-10 |
| Last Update Date | 2011-04-27 |