| NPI | 1427615228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1143900) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 945533) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2025-04-12 |