| NPI | 1396439030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1142321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1142321) |
| 163W00000X Registered Nurse (Licence: TX 786786) | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2026-03-13 |