| NPI | 1023778016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1054882) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2021037855) |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2024-03-15 |