| NPI | 1609470350 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1018457)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 863836)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 221180)  | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 1018457)  | |
| Enumeration Date | 2020-11-23 | 
| Last Update Date | 2025-08-06 |