| NPI | 1891137584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1094539) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9246855) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2025-11-10 |