| NPI | 1528696416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1166257) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1166257) |
| 163WE0003X Registered Nurse, Emergency (Licence: TX 890474) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-04-24 |