| 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 |