| NPI | 1063768638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: TX AP123257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA TAP002796) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2026-03-04 |