| NPI | 1568653301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP02391) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP02391) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP02391) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 627709) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 627709) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-12-13 |