| NPI | 1255004594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1048923) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1048923) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP1048923) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-06-26 |