| NPI | 1275975203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127973) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0990816) |
| 163W00000X Registered Nurse (Licence: CO 196559) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-10-05 |