| NPI | 1861058596 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141111) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 862088) | 
| Enumeration Date | 2019-05-17 | 
| Last Update Date | 2025-01-16 |