| NPI | 1750058608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1154423) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 971635) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-05-31 |