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 |