| NPI | 1023717832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1203062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 923163) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-07-02 |