| NPI | 1265679492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP117471) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 648539) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2015-11-10 |