| NPI | 1346531100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP123220) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00326200) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP123220) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-05-19 |