| NPI | 1083129795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1169075) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: TX 791834) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2026-06-24 |