| NPI | 1760214100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1172149) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1172149) |
| 251J00000X Nursing Care (Licence: TX 690734) | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-10-29 |