| NPI | 1871121426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004518) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1004518) |
| 363L00000X Nurse Practitioner (Licence: TX 1004518) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-09-08 |