| NPI | 1669366522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1202763) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 928761) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1202763) | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-07-16 |