| NPI | 1386539526 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1203455) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1203455) | 
| Enumeration Date | 2025-06-10 | 
| Last Update Date | 2025-10-07 |