| NPI | 1295610368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1106689) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11039998) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11039998) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11039998) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1106689) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1106689) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-10-01 |