| NPI | 1235990565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10160707-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10160707-3102) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 10160707-4405) | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-03-12 |