| NPI | 1366289852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1235858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 862747) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-09-11 |