| NPI | 1295840528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 604439) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 604439) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 604439) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-06-20 |