| NPI | 1962045955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37738) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 223094) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX pending) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2025-01-06 |