| NPI | 1063026029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1011090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1011090) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1011090) | |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2022-03-29 |