| NPI | 1871143560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP142629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 811769) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-10-07 |