| NPI | 1548731979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1064416) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1064416) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: FL APRN9372105) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9372105) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1064416) | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-10-03 |