| NPI | 1831632066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1009073) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1009073) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22035) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 22035) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TN 22035) | |
| Enumeration Date | 2016-11-20 |
| Last Update Date | 2021-03-26 |