| NPI | 1215822291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1194745) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1194745) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1194745) | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-10-02 |