| NPI | 1396598975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 8752008-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8752008-8900) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-05-17 |