| NPI | 1336707470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138749) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP138749) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-10-07 |