| NPI | 1215475546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005033) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-06-20 |