| NPI | 1386122000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1068322) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 878268) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-04-06 |