| NPI | 1346723822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1069219) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-78429-032) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN265780) | |
| 363L00000X Nurse Practitioner (Licence: TX 1069219) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2018035925) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-09-29 |