| NPI | 1053931253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1118636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166885) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-166885) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1118636) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-12-19 |