| NPI | 1851860365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61005991) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139713) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP139713) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61005991) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-05-18 |