| NPI | 1083180608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1027480) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 694339) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2026-01-05 |