| NPI | 1194276352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 785613) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 785613) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2020-10-14 |