| NPI | 1801689708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1203974) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 939625) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-06-13 |