| NPI | 1982120754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP135208) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 921938) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2025-08-06 |