| NPI | 1225722192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1043013) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1043013) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-09-13 |