| NPI | 1730629163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP133496) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX AP133496) |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2021-06-18 |