| NPI | 1366072928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 2000691726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144792) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2026-04-24 |