| NPI | 1497639488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1208457) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 865557) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-07 |