| NPI | 1376034066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138635) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 687091) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138635) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2025-08-14 |