| NPI | 1417735523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1123744) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1123744) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1123744) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-10-11 |