| NPI | 1659036317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1056824) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1056824) |
| 163WE0003X Registered Nurse, Emergency (Licence: TX 657849) | |
| Enumeration Date | 2021-11-07 |
| Last Update Date | 2026-01-07 |