| NPI | 1942742937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 830266) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132779) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-12-05 |