| NPI | 1992776561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1112406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1176213) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024171794) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0015001083) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2023-09-06 |