| NPI | 1366023863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1180522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 895764) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2026-02-13 |