| NPI | 1689569063 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1206898) | 
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 831531) | 
| Enumeration Date | 2025-06-09 | 
| Last Update Date | 2025-09-02 |