| NPI | 1053119115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1207881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 729239) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1207881) | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-11-17 |