| NPI | 1386157808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP135725) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP135725) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX AP135725) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-03-29 |