| NPI | 1538759139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1020975) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX 1020975) |
| 363L00000X Nurse Practitioner (Licence: TX 799970) | |
| 363L00000X Nurse Practitioner (Licence: TX 1020975) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 799970) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-11-30 |