| NPI | 1962949768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP133115) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MT NUR-APRN-LIC-179400) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012760A) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-09-06 |