| NPI | 1093293755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1215287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 950541) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2025-10-13 |