| NPI | 1558224535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 969213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1218784) |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2026-07-09 |