| NPI | 1114225976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: TX AP119668) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP119668) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP119668) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2025-09-19 |