| NPI | 1912420217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1073943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 850612) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1073943) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-12-18 |