| NPI | 1497361653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1014356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 275470) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2026-01-15 |