| NPI | 1639586399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28084) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1033341) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.011587) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 205993) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000480) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-05-10 |