| NPI | 1588084768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 112112) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0033597) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 288719) | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2024-05-08 |