| NPI | 1720963457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1211539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 892742) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1211539) | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-11-17 |