| NPI | 1720332000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1181110) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NY F340851) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306114) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2026-02-17 |