| NPI | 1912416496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1109012) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AK 126142) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AK 126142) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-12-05 |