| NPI | 1437640158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1118812) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: OH 385745) |
| 163WE0003X Registered Nurse, Emergency (Licence: OH 385745) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 90590) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-09-24 |