| NPI | 1215414552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 8262260-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8262260-4405) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-11-09 |