| NPI | 1871008045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136143) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP136143) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 721960) | |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2024-11-05 |