| NPI | 1568620987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1228529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX rn.952084) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2026-03-03 |