| NPI | 1417722695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1140421) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2025-11-25 |