| NPI | 1164237418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1127439) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 915944) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2026-04-23 |