| NPI | 1689487050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: TX 1189550) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1189550) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |