| NPI | 1811274095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 5140356-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 5140356-8900) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |