| NPI | 1417538000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8260988-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 8260988-4405) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 8260988-4405) | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-11-11 |