| NPI | 1609226505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173561) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-04-20 |