| NPI | 1013192624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP116305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 703459) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2025-12-08 |