| NPI | 1396610812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10376749-4405) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 10376749-4405) |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2026-03-04 |