| NPI | 1053969766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142551) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11027565) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG06190257) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95023684) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-10-28 |