| NPI | 1861910382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140928) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP140928) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140928) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2024-06-04 |