| NPI | 1619561396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1029021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1029021) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-10-02 |