| NPI | 1194430819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1107552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1107552) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-01-25 |