| NPI | 1831877018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 727781) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 1034416) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-01-05 |