| NPI | 1780730440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP01217) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX R49167) |
| 363L00000X Nurse Practitioner (Licence: NM R49167) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-05-20 |