| NPI | 1336525203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN636202) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NJ 26NR16153900) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-02-19 |