| NPI | 1144789959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP140898) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP140898) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |