| NPI | 1255943296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1007398) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1007398) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1007398) | |
| 163W00000X Registered Nurse (Licence: TX 796155) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-09-30 |