| NPI | 1154701746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX APRN141396) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TX 833979) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-05-19 |