| NPI | 1528546462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183418) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9380445) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9380445) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143814) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2023-06-19 |