| NPI | 1013550573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140903) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140903) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP140903) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-07-25 |