| NPI | 1386303535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1057089) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1057089) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1057089) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-10-03 |