| NPI | 1811264120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 812036) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6007329-4405) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-04-29 |