| NPI | 1578029534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 76499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP137926) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137926) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP137926) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 76499) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-07-30 |