| NPI | 1073860086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 725948) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 230699) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0100390-C-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 323817) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-06-09 |