| NPI | 1912698556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1186838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 222821) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-04-23 |