| NPI | 1841564945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 666000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 666000) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2021-05-12 |