| NPI | 1912583253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1051292) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2000254647) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-06-01 |