| 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 | 2025-11-18 |