| NPI | 1912198805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP116034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 685688) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-04-30 |