| NPI | 1780683888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP110040) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 553923) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: TX AP110040) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2025-07-22 |