| NPI | 1750790556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: TX 126020) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP126020) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX AP126020) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-10-15 |