| NPI | 1801090865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 236283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 236283) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-03-17 |