| NPI | 1063089068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1042729) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 4237661) |
| 208M00000X Hospitalist (Licence: TX 1042729) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1042729) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1042729) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1042729) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-01-12 |