| NPI | 1093236895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 6763546-4405) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: UT 6763546-4405) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-03-07 |