| NPI | 1053977892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138400) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2021-05-26 |