| NPI | 1033835848 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1006909)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1006909)  | 
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 1006909)  | |
| Enumeration Date | 2022-10-13 | 
| Last Update Date | 2024-08-01 |