| NPI | 1538766290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1050089) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 837813) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-09-06 |