| NPI | 1386339737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP140941) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140941) |
| 163W00000X Registered Nurse (Licence: TX 848837) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-10-17 |