| NPI | 1033893094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1169085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61169376) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 947794) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-09-12 |