| NPI | 1467515403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP114231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 619761) |
| 163W00000X Registered Nurse (Licence: CA 657298) | |
| 163WX0200X Registered Nurse, Oncology (Licence: CA 657298) | |
| 163WX0200X Registered Nurse, Oncology (Licence: TX 619761) | |
| 363L00000X Nurse Practitioner (Licence: CA 16177) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 619761) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-17 |