| NPI | 1659773869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP126548) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX RN860816) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 11670071-4405) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126548) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 11670071-4405) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-09-03 |