| NPI | 1780139469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129974) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX Ap129974) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-08-28 |