| NPI | 1144422528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN281869) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 690022) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP115236) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-11-29 |