| NPI | 1487072468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 646931) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 646931) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 646931) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-05-23 |