| NPI | 1639046485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 785361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1215973) |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-21 |