| NPI | 1851903801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 1098061) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 903634) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NM 85007) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-08-18 |