| NPI | 1053052340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10043164) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 10043164) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1074228) | |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2025-09-18 |