| NPI | 1639021280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1228477) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1228477) |
| 163W00000X Registered Nurse (Licence: TX 927733) | |
| Enumeration Date | 2026-02-13 |
| Last Update Date | 2026-05-06 |