| NPI | 1609189034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 708964) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP119641) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 221812) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2025-03-10 |