| NPI | 1538521133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1206786) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: TX 986350) |
| 163WC0400X Registered Nurse, Case Management (Licence: TX 986350) | |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 986350) | |
| 163W00000X Registered Nurse (Licence: TX 986350) | |
| 363L00000X Nurse Practitioner (Licence: TX 1206786) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-11-14 |