| NPI | 1861883910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 718250) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127164) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2024-08-26 |