| NPI | 1184205676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1047532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1047532) |
| 163W00000X Registered Nurse (Licence: TX 922644) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-05-20 |