| NPI | 1003284068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201908955NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OK 97764) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 771115) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP128979) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-12-28 |