| NPI | 1609330810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 727722) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 727722) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2022-09-16 |