| NPI | 1205562089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1073985) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX 1073985) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-03-06 |