| NPI | 1649998972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 1006613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1006613) |
| 364S00000X Clinical Nurse Specialist (Licence: TX 1006613) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 1006613) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-03-01 |