| NPI | 1467032706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP144995) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX AP144995) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2024-04-16 |