| NPI | 1497233464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 792784) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 56940) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2026-04-07 |