| NPI | 1063918985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP136494) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136496) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-07-13 |