| NPI | 1346898780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11045614) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2026-02-26 |