| NPI | 1215251624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP146147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104584) |
| 363L00000X Nurse Practitioner (Licence: CA 95004930) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.016210) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2020-09-03 |