| 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 | 2025-07-16 |