| NPI | 1285281303 |
|---|---|
| Former Name | MAGDA DEATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 824429) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-10-13 |