| NPI | 1407493570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP143824) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP143824) |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2019-12-07 |