| NPI | 1114521358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1050450) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: TX 770994) |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2025-07-15 |