| NPI | 1649798232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1055965) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020023180) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 22921) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020023180) | |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2022-08-04 |