| NPI | 1265131510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1113491) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG01230015) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-22 |