| NPI | 1881964898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX ap124342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801102) |
| 363L00000X Nurse Practitioner (Licence: CA 21550) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2025-07-18 |