| NPI | 1386004042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130404) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP130404) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130404) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-03-22 |