| NPI | 1962974469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP140425) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180028) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140425) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP000340) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 866207) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180028) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2022-11-30 |