| NPI | 1356830889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP135385) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP135385) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP135385) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-04-21 |