| NPI | 1740146380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 647916) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1227847) |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2026-02-25 |