| NPI | 1053840082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A005171) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP134293) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005171) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A005171) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134293) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A005171) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP134293) | |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2021-04-21 |