| NPI | 1720178510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP104635) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 452887) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 452887) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-11-19 |