| NPI | 1760983340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136722) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: TX AP136722) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP136722) | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-07-29 |