| NPI | 1215027842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 200049-4405) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 200049-4405) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 200049-4405) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-10-21 |