| NPI | 1184929622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP119811) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 582791) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2024-06-12 |