| NPI | 1518515188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 62175914405) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 6217591) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 62175914405) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2020-04-10 |