| NPI | 1174057855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1108466) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1108466) |
| 364S00000X Clinical Nurse Specialist (Licence: TX AP133825) | |
| 364S00000X Clinical Nurse Specialist (Licence: TX 713761) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP133825) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-02-07 |