| NPI | 1528930112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1215290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 970116) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-10-08 |