| NPI | 1013163013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 565703) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 55703) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |