| NPI | 1982064507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1109939) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60645952) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95003862) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1109939) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-06-18 |