| NPI | 1053724591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP125327) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP125327) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-04-12 |