| NPI | 1689415044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1158609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 761612) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1158609) | |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |