| NPI | 1821746835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1079273) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG09210060) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-09-27 |