| NPI | 1497529747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 768598) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2026-07-21 |