| NPI | 1194375527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145627) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 892138) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 267823) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2026-03-10 |