| NPI | 1306602883 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1153772) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1153772) | 
| Enumeration Date | 2024-02-22 | 
| Last Update Date | 2025-10-08 |