| NPI | 1255158481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1085725) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 1085725) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 1085725) | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-10-16 |