| NPI | 1033326608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 24725627) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT06904) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2026-02-10 |