| NPI | 1417626615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1057770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 870531) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2023-05-26 |