| NPI | 1437889086 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1082385) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1082385) | 
| Enumeration Date | 2022-06-15 | 
| Last Update Date | 2022-06-15 |