| NPI | 1881375780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1129705) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1129705) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1129705) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-10-16 |