| NPI | 1447042270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1206991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 959532) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1206991) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1206991) | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-07-22 |