| NPI | 1073317335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1196460) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 205707) |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2026-05-22 |