| NPI | 1104663467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 961565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1244707) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2026-08-26 |