| NPI | 1821656414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1191341) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1191341) |
| 163W00000X Registered Nurse (Licence: TX 965828) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2026-08-06 |