| NPI | 1912322587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP125247) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 752748) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2020-01-11 |