| NPI | 1962110742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 8309706-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8309706-4405) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-03-24 |