| NPI | 1255911020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1233052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804581) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 338349) | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2026-05-16 |