| NPI | 1962705707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP124052) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 4298-33) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2023-07-24 |