| NPI | 1871118570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1008013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 798016) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1008013) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1008013) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2021-03-09 |