| NPI | 1265892525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130963) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 770880) |
| 163W00000X Registered Nurse (Licence: TX 760880) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2026-08-18 |