| NPI | 1831632306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP132708) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: TX AP132708) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-03-31 |