| NPI | 1144605205 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP128669)  | 
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP128669)  | 
| Enumeration Date | 2015-07-29 | 
| Last Update Date | 2019-04-30 |