| NPI | 1730634742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131436) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131436) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-08-24 |