| NPI | 1033723184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1030368) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1030368) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TX 2020008216) | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2024-04-10 |