| NPI | 1790275949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 857866) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2026-02-14 |