| NPI | 1538521133 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206786) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 986350) | 
| 163WC0400X Registered Nurse, Case Management (Licence: TX 986350) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 986350) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 986350) | |
| Enumeration Date | 2016-03-23 | 
| Last Update Date | 2025-07-15 |