| NPI | 1457838070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP138177) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX AP138177) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138177) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-08-14 |