| NPI | 1528400256 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP132061)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000017798)  | 
| Enumeration Date | 2013-07-23 | 
| Last Update Date | 2025-11-02 |