| NPI | 1144052804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1171335) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1171335) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX 1171335) | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-29 |