| NPI | 1427863802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX PA19224) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-12-01 |