| NPI | 1225445687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 138569) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 138569) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 297751) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 25130) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 25130) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 297751) | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2024-01-10 |