| NPI | 1740943547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1059116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 815288) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-06-21 |