| NPI | 1457905846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 145629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 806165) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 806165) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2025-06-19 |