| NPI | 1902176605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121853) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-460003-032) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2016-10-14 |