| NPI | 1033605977 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137894) | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 846261) | 
| Enumeration Date | 2018-07-03 | 
| Last Update Date | 2025-03-31 |