| NPI | 1790876795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap111742) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 0370960-22) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 530180) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-07-24 |