| NPI | 1427860659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AG11240101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1183100) |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |