| NPI | 1497479786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP141943) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP141943) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |