| NPI | 1578978011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP128230) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71004981A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28196100A) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-10-28 |