| NPI | 1811649338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1070700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 936539) |
| 363L00000X Nurse Practitioner (Licence: TX 1070700) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-01-24 |