| NPI | 1558219923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1232648) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 14272588-4405) |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-08-10 |