| NPI | 1275416273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1207722) |
| Additional Taxonomies | 2086S0129X (Licence: TX 1207722) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1207722) | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2026-01-12 |