| NPI | 1871329219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1193094) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 895873) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2024087951) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 2024087951) | |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-05-16 |