| NPI | 1083852677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 279490-4405/APRN) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 2794904405) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2021-12-16 |