| NPI | 1841533452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP122226) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 539997) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2020-11-03 |