| NPI | 1326261223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 641426) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 641426) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-01-17 |