| NPI | 1316804420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1232110) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 878065) |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-08-21 |