| NPI | 1811436439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 577713) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP132506) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2025-08-26 |