| NPI | 1861899841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 844939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP126948) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP126948) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126948) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2024-06-24 |