| NPI | 1467839324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126365) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP126365) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP126365) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-02-16 |