| NPI | 1730587817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP138184) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9226891) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP138184) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2023-07-15 |