| NPI | 1366518136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP104526) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 67228) |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2023-04-11 |