NPI | 1578916458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 85483) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP131400) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NM 85483) | |
363LF0000X Nurse Practitioner, Family (Licence: TX AP131400) | |
Enumeration Date | 2016-07-15 |
Last Update Date | 2025-08-23 |