| NPI | 1295586196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1215344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 888082) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-10-31 |