| NPI | 1346391273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 689000) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 2006010375) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-10-19 |