| NPI | 1760914873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1208755) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 082039-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK R0107224) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 107224) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2025-11-11 |