| NPI | 1073860086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 725948) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0100390-C-NP) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-05-08 |