| NPI | 1083950760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP122940) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 724171) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2026-07-28 |