| NPI | 1245887538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 197265) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP14098) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2025-07-30 |