| NPI | 1205799962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1227750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 967931) |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2026-03-05 |