| NPI | 1942831987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 60963) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP144683) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 60963) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP144683) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 60963) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP144683) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-06-09 |