| NPI | 1962029611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: UT 8958979-4409) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: UT 8958979-4409) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: UT 8958979-4409) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2021-11-18 |