| NPI | 1902492945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1014351) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX 1014351) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1014351) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-04-07 |