| NPI | 1477577567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP115115) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 516229) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-02-05 |