| NPI | 1770914970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI 2571) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 702308) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0000556-C-NP) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2022-07-21 |