| NPI | 1013624469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 896834) | 
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 896834) | 
| Enumeration Date | 2022-11-03 | 
| Last Update Date | 2025-10-20 |