| NPI | 1114406246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13939) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: WI 13939-33) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP138429) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2025-05-05 |