| NPI | 1699145896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1194330) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1194330) |
| 372500000X Chore Provider | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-05-19 |