| NPI | 1467943670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1228755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 885431) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2026-03-11 |