| NPI | 1114450418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11002506) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133602) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP133602) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133602) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL 11002506) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL 11002506) | |
| 207R00000X Internal Medicine (Licence: FL 11002506) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-04-03 |