| NPI | 1730517095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 236642) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 369706) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2020-05-14 |