| NPI | 1942843339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP143627) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP143627) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2024-01-18 |