| NPI | 1760362115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 208796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 59263) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2026-04-23 |