| NPI | 1437608866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP136665) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN229232) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP136665) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN229232) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136665) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2021-09-14 |