| NPI | 1427728666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG09210045) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AG09210045) |
| 163W00000X Registered Nurse (Licence: TX 839778) | |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2025-06-16 |