| NPI | 1467876557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132786) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00460800) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 854452) | |
| 363L00000X Nurse Practitioner (Licence: TX AP132786) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-11-07 |