| NPI | 1316636780 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 373935-4405) | 
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer | 
| 2279P1004X Respiratory Therapist, Registered, Pulmonary Diagnostics | |
| 2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-05-02 | 
| Last Update Date | 2025-08-13 |