| NPI | 1831957653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1114745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1114745) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1114745) | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-03-28 |