| NPI | 1851967061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1032689) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1032689) |
| 363L00000X Nurse Practitioner (Licence: TX 1032680) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-11-19 |