| NPI | 1215434642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 772609) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-01-02 |