| NPI | 1992406045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1103209) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 886750) |
| 363L00000X Nurse Practitioner (Licence: TX 1103209) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1103209) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1103209) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-07-12 |