| NPI | 1336788751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1237619) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 980922) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2026-07-10 |