| NPI | 1255885448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131928) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 785062) | 
| Enumeration Date | 2016-08-05 | 
| Last Update Date | 2025-09-03 |