| NPI | 1306494810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP143250) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: TX 729919) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-09-30 |