| NPI | 1821486432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126521 / RN 739760) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126521) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP126521) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-04-29 |