| NPI | 1538573134 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP141135) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 5174421) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307663) | |
| Enumeration Date | 2014-06-12 | 
| Last Update Date | 2025-04-23 |