| NPI | 1548832587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1173721) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 221148) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-12-05 |