| NPI | 1285354985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: TX 1097452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1097452) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-01-11 |