| NPI | 1508238304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 813082) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129376) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129376) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2019-05-31 |