| NPI | 1710798160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1187525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 900138) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-05-15 |