| NPI | 1548715923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131527) |
| Additional Taxonomies | 163WX1100X Registered Nurse, Ophthalmic (Licence: TX AP131527) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-09-01 |