| NPI | 1356735872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127792) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP127792) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP127792) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2021-09-29 |