| NPI | 1275786741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 754432) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175256) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 305489) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-01-17 |