| NPI | 1548713233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1018111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001249311) |
| 363L00000X Nurse Practitioner (Licence: VA 0024173787) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1018111) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-12-10 |