| NPI | 1437849213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 14111960-4405) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: UT 10643954-3102) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2026-03-19 |