| NPI | 1801347729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132262) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 29072) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.025814) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132262) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-05-10 |