| NPI | 1699965533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX R24960) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 611930) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP115952) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-01-11 |