| NPI | 1043193741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1213792) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TX 743575) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-09-22 |