| NPI | 1306446091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1067006) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95014533) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95014533) | |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-12-02 |