| NPI | 1811490923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10395823-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 10395823-4405) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |