| NPI | 1437491909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP123400) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 741129) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP123400) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 741129) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-01-31 |