| NPI | 1851017974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP1097102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 705683) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP1097102) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP1097102) | |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-07-12 |