| NPI | 1699362582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1021157) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1021157) |
| Enumeration Date | 2020-12-25 |
| Last Update Date | 2020-12-25 |