| NPI | 1548832983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1047424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1047424) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-11-08 |