| NPI | 1831409804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP120093) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201702535NP-PP) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2017-04-27 |