| NPI | 1821656414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1191341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965828) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2025-05-19 |