| NPI | 1003359951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP143029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 81-4360797) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2026-05-25 |