| NPI | 1073968913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02936) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130880) |
| 363L00000X Nurse Practitioner (Licence: CO 0001989-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: PA SP017468) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130880) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130880) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP130880) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP130880) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2023-06-28 |