| NPI | 1396138293 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128189) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 631403) | 
| Enumeration Date | 2015-03-17 | 
| Last Update Date | 2025-07-28 |