| NPI | 1558135806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1212795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 701476) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2025-09-19 |