| NPI | 1902134489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 716564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 716564) |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2019-03-21 |