| NPI | 1730334723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP117141) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP117141) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117141) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2025-08-25 |