| NPI | 1215251525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133827) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75109-022) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010009572) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H149493) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2024-06-17 |