| NPI | 1407364862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP135425) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN 217537) |
| 363L00000X Nurse Practitioner (Licence: TX AP135425) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135425) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2026-03-19 |