| NPI | 1285158246 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1106694) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007074) | 
| Enumeration Date | 2017-08-01 | 
| Last Update Date | 2025-06-24 |