| NPI | 1164869285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122945) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122945) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX RN 612833) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2025-11-20 |