| NPI | 1578921490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131341) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-07-30 |