| NPI | 1619724267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1159155) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1159155) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-10-05 |