| NPI | 1265787824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP121822) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 673257) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121822) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2025-11-13 |