| NPI | 1538921788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1180371) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11030802) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-03-21 |