| NPI | 1891161394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP128647) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003161) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL APRN11003161) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-04-28 |