| NPI | 1568948909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP145167) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 78016) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2020-10-21 |