| NPI | 1619357050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS R869134) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1030171) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-07-24 |