| NPI | 1710700034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1170305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1170305) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-13 |