| NPI | 1679718233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 008702) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1093979) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2022-09-23 |