| NPI | 1770819047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1031108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775689) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1031108) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-09-14 |