| NPI | 1245847946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1028202) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 850634) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-08-23 |