| NPI | 1215590500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1195720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI APRN-2725) |
| 163W00000X Registered Nurse (Licence: MI 4704242984) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2025-10-15 |