| NPI | 1841687308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1072057) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306428-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340911-1) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2022-06-28 |