| NPI | 1841239738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP107482) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 631908) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-09-09 |