| NPI | 1346608775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-012717) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209012717) | |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2023-01-04 |