| NPI | 1043068216 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1180638) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 860610) | 
| Enumeration Date | 2024-05-10 | 
| Last Update Date | 2025-10-23 |