| NPI | 1679977490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP129781) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129781) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4043963) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0104731-C-NP) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 907665) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP70033602) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2025-08-29 |