| NPI | 1609107648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP118768) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP118768) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP118768) | |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2019-02-04 |