| NPI | 1134760713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1013772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 875642) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1013772) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-08-11 |