| NPI | 1275146201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1058063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 984596) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-08-23 |